Provider Demographics
NPI:1346312014
Name:ORANGE COUNTY EYECARE OPTOMETRY INC .
Entity Type:Organization
Organization Name:ORANGE COUNTY EYECARE OPTOMETRY INC .
Other - Org Name:DOUGAL&SWEARINGEN OD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEARINGEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-528-2566
Mailing Address - Street 1:1201 N ROSE DR
Mailing Address - Street 2:STE 100
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3939
Mailing Address - Country:US
Mailing Address - Phone:714-528-2566
Mailing Address - Fax:714-993-5369
Practice Address - Street 1:1201 N ROSE DR
Practice Address - Street 2:STE 100
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3939
Practice Address - Country:US
Practice Address - Phone:714-528-2566
Practice Address - Fax:714-993-5369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADS3002Medicare PIN
CAW22524Medicare PIN